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Ms. Mary Ann Holem, FNP-BC
Family Nurse Practitioner in Crystal Lake, Illinois
NPI 1972897791

Mary Ann Holem is a Family Nurse Practitioner based in Crystal Lake, IL and is specialized in Family. Mary Ann Holem practices in Crystal Lake, IL and has the professional credentials of FNP-BC. The NPI Number for Mary Ann Holem is 1972897791 and holds a License No. 209008856 (Illinois).

The current practice location address for Mary Ann Holem is 360 Station Dr, Crystal Lake, IL and can be reached out via phone at 815-338-6600 and via fax at 815-455-8044.

Location: 360 Station Dr, Crystal Lake, IL, 60014-7978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972897791
Provider Name
Mary Ann Holem
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
360 Station Dr, Crystal Lake, IL, 60014-7978
Phone Number
815-338-6600
Fax Number
815-455-8044
Provider Enumeration Date
06/09/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209008856 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
360 Station Dr
City
Crystal Lake
State
Illinois
Zip
60014
Phone Number
815-338-6600
Fax Number
815-455-8044
person
Provider Business Mailing Address Details
Address
360 Station Dr
City
Crystal Lake
State
Illinois
Zip
60014
Phone Number
815-338-6600
Fax Number
815-455-8044
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209008856 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209008856 (Illinois)
Definition
Definition to come...
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